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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Industry News, Healthcare Compliance, OIG

Lessons Learned from OIG Semiannual Report to Congress

Posted by Michael Rosen, ESQ on Tue, Aug 15, 2017

Each year, the Department of Health and Human Services and OIG is tasked with updating Congress on its performance, trends, and actions taken to combat healthcare fraud and abuse.  The mid-term report was issued for the period of October 2016 to March 2017 and describes OIG’s work on identifying significant problems, abuses, deficiencies, remedies, and investigative outcomes relating to the administration of HHS programs and operations that were disclosed during the reporting period.

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OIG, License Verification, Compliance Plan

You Can't Afford Not to Monitor Healthcare Licenses and Sanctions

Posted by Michael Rosen, ESQ on Thu, Aug 10, 2017

“An ounce of prevention is worth a pound of cure.” At least that is what Benjamin Franklin said a century ago. He is right, and that was insightful - even before his face would appear on U.S. currency. Little did he know how many “Benjamins” it would cost a healthcare company in fines for non-compliance with licenses.

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Industry News, OIG, Fraud and Abuse

OIG Focuses on Combatting Home Health Fraud and Neglect

Posted by Michael Rosen, ESQ on Tue, Aug 08, 2017

Ohio had their hands full in a federal case involving a former home healthcare nurse who committed heinous crimes and Medicaid fraud involving a severely physically disabled 14-year-old minor (cerebral palsy) in her care. As a result of her neglect and fraud, she also received a lifetime ban from working in any governmental entity in the healthcare field.

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OIG, OIG Work Plan, compliance program

July OIG Work Plan Updates

Posted by Michael Rosen, ESQ on Thu, Jul 27, 2017

As of June 2017, the Office of Inspector General (OIG) began providing updates to their Work Plan on a monthly basis. This will help compliance professionals update their plan or make sure they are continuing to focus on the most current OIG priority areas. The online updates will allow direct access to providers and other visitors.

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Healthcare Compliance, OIG, corporate integrity agreements

Settlement Considerations: CIA or No CIA?

Posted by Harold Malkin on Fri, Jul 21, 2017

We are pleased to welcome a guest today on the blog - Harold Malkin, a former Assistant U.S. Attorney who specialized in the resolution of civil healthcare fraud cases involving individual providers, medical practices and institutional providers in the Western District of Washington in Seattle for over 15 years. In this article, Harold will highlight some important information regarding the permissive and mandatory exclusion authority of the Office of Inspector General (OIG) as well as some things to consider if you find yourself in settlement discussions with OIG.

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